Individual provider Active NPI

Maryssa Depies

  • Medical Physician Assistant
  • Hillsdale, MI
National Provider Identifier
1144902206
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
3240 W Carleton Rd Ste B
Hillsdale, MI 49242-9027
Phone
(517) 610-5469
Fax
(517) 586-0228
NPI assigned
Aug 7, 2023
Last updated
Oct 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

3240 W Carleton Rd Ste B
Hillsdale, MI 49242-9027

Mailing address

59 S West St Apt 1
Hillsdale, MI 49242-1880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250819004355 MI Order and Referring Only - Physician Assistant 9931608551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Magnificat Family Medicine, LLC CurrentSince Sep 5, 2023 Accepting new patients
Major Hospital Past Accepting new patients

Locations

8240 Naab Rd
Ste 416
Indianapolis, IN 46260
Phone (317) 306-5588

Interoperability endpoints

  • Direct secure messaging: maryssa.depies@749128527708164.direct.elationemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793145600000",
    "number": "1144902206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 S WEST ST APT 1",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 W CARLETON RD STE B",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492429027",
            "telephone_number": "517-610-5469",
            "fax_number": "517-586-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPIES",
        "first_name": "MARYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

Verify at the official NPI Registry.